Information Submission Form

FHACt has Gone Paperless We need your email address to keep you in touch

To improve communications and reduce mailing costs, FHACt is transitioning from a conventional mailing format to electronic mailings and communications. Over the years our contact list has grown to hundreds of names and addresses but very few contacts include email addresses. We need your help to update our records to efficiently communicate important information to you.

Please fill out our information form below
to supply us with your contact information and email address.

First Name:

Last Name:

Email: (required)

Organization:

Phone:

Address:

City:

State / Zipcode

/

Comments:

For more information about membership, please contact:
FHACt Chairperson Margaret Suib at 203-854-7820.